National and Subnational estimates for the United States of America

Identifying changes in the reproduction number, rate of spread, and doubling time during the course of the COVID-19 outbreak whilst accounting for potential biases due to delays in case reporting both nationally and subnationally in the United States of America. These results are impacted by changes in testing effort, increases and decreases in testing effort will increase and decrease reproduction number estimates respectively (see Methods for further explanation).

Table of Contents


Using data available up to the: 2020-05-04

Note that it takes time for infection to cause symptoms, to get tested for SARS-CoV-2 infection, for a positive test to return and ultimately to enter the case data presented here. In other words, today’s case data are only informative of new infections about two weeks ago. This is reflected in the plots below, which are by date of infection.

Expected daily confirmed cases by region


Figure 1: The results of the latest reproduction number estimates (based on estimated confirmed cases with a date of infection on the 2020-04-23) in the United States of America, stratified by state, can be summarised by whether confirmed cases are likely increasing or decreasing. This represents the strength of the evidence that the reproduction number in each region is greater than or less than 1, respectively (see the methods for details). Regions with fewer than 40 confirmed cases reported on a single day are not included in the analysis (light grey).

National summary

Summary (estimates as of the 2020-04-23)

Table 1: Latest estimates (as of the 2020-04-23) of the number of confirmed cases by date of infection, the expected change in daily confirmed cases, the effective reproduction number, the doubling time (when negative this corresponds to the halving time), and the adjusted R-squared of the exponential fit. The mean and 90% credible interval is shown for each numeric estimate.
Estimate
New confirmed cases by infection date 33914 (33255 – 34405)
Expected change in daily cases Increasing
Effective reproduction no. 1.1 (1.1 – 1.1)
Doubling/halving time (days) 40 (29 – 64)
Adjusted R-squared 0.74 (0.67 – 0.82)

Confirmed cases, their estimated date of infection, and time-varying reproduction number estimates


Figure 2: A.) Confirmed cases by date of report (bars) and their estimated date of infection. B.) Time-varying estimate of the effective reproduction number. Light ribbon = 90% credible interval; dark ribbon = the 50% credible interval. Estimates from existing data are shown up to the 2020-04-23 from when forecasts are shown. These should be considered indicative only. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence. The vertical dashed line indicates the date of report generation.

Time-varying rate of growth and doubling time


Figure 3: A.) Time-varying estimate of the rate of growth, B.) Time-varying estimate of the doubling time in days (when negative this corresponds to the halving time), C.) The adjusted R-squared estimates indicating the goodness of fit of the exponential regression model (with values closer to 1 indicating a better fit). Estimates from existing data are shown up to the 2020-04-23. Light ribbon = 90% credible interval; dark ribbon = the 50% credible interval. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence.

Regional Breakdown

Data availability

Limitations

Summary of latest reproduction number and confirmed case count estimates by date of infection


Figure 4: Confirmed cases with date of infection on the 2020-04-23 and the time-varying estimate of the effective reproduction number (light bar = 90% credible interval; dark bar = the 50% credible interval.). Regions are ordered by the number of expected daily confirmed cases and shaded based on the expected change in daily confirmedcases. The horizontal dotted line indicates the target value of 1 for the effective reproduction no. required for control and a single case required for elimination.

Reproduction numbers over time in the six regions expected to have the most new confirmed cases


Figure 5: Time-varying estimate of the effective reproduction number (light ribbon = 90% credible interval; dark ribbon = the 50% credible interval) in the regions expected to have the highest number of new confirmed cases. Estimates from existing data are shown up to the 2020-04-23 from when forecasts are shown. These should be considered indicative only. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence. The horizontal dotted line indicates the target value of 1 for the effective reproduction no. required for control. The vertical dashed line indicates the date of report generation.

Confirmed cases and their estimated date of infection in the six regions expected to have the most new confirmed cases


Figure 6: Confirmed cases by date of report (bars) and their estimated date of infection (light ribbon = 90% credible interval; dark ribbon = the 50% credible interval) in the regions expected to have the highest number of new confirmed cases. Estimates from existing data are shown up to the 2020-04-23 from when forecasts are shown. These should be considered indicative only. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence. The vertical dashed line indicates the date of report generation.

Reproduction numbers over time in all regions


Figure 7: Time-varying estimate of the effective reproduction number (light ribbon = 90% credible interval; dark ribbon = the 50% credible interval) in all regions. Estimates from existing data are shown up to the 2020-04-23 from when forecasts are shown. These should be considered indicative only. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence. The horizontal dotted line indicates the target value of 1 for the effective reproduction no. required for control. The vertical dashed line indicates the date of report generation.

Confirmed cases and their estimated date of infection in all regions

Figure 8: Confirmed cases by date of report (bars) and their estimated date of infection (light ribbon = 90% credible interval; dark ribbon = the 50% credible interval) in all regions. Estimates from existing data are shown up to the 2020-04-23 from when forecasts are shown. These should be considered indicative only. Confidence in the estimated values is indicated by translucency with increased translucency corresponding to reduced confidence. The vertical dashed line indicates the date of report generation.

Latest estimates (as of the 2020-04-23)

Table 2: Latest estimates (as of the 2020-04-23) of the number of confirmed cases by date of infection, the effective reproduction number, and the doubling time (when negative this corresponds to the halving time) in each region. The mean and 90% credible interval is shown.
State New confirmed cases by infection date Expected change in daily cases Effective reproduction no. Doubling/halving time (days)
Alabama 252 (214 – 291) Increasing 1.1 (1 – 1.3) 28 (13 – -550)
Arizona 397 (344 – 439) Increasing 1.3 (1.2 – 1.4) 14 (9.9 – 24)
Arkansas 69 (49 – 89) Decreasing 0.7 (0.6 – 0.8) -8.2 (-19 – -5.3)
California 1960 (1850 – 2071) Increasing 1.1 (1.1 – 1.2) 28 (19 – 53)
Colorado 534 (471 – 589) Unsure 1 (0.9 – 1.1) -73 (76 – -24)
Connecticut 823 (754 – 895) Likely increasing 1 (1 – 1.1) 150 (27 – -42)
Delaware 168 (139 – 200) Likely decreasing 0.9 (0.8 – 1.1) -27 (160 – -12)
District of Columbia 226 (186 – 263) Increasing 1.2 (1.1 – 1.4) 14 (8.6 – 35)
Florida 784 (715 – 855) Increasing 1.1 (1 – 1.2) 56 (23 – -110)
Georgia 998 (922 – 1078) Increasing 1.3 (1.2 – 1.4) 14 (11 – 23)
Guam 23 (10 – 34) Unsure 1.1 (0.7 – 1.5) 1100 (8 – -8.1)
Idaho 29 (15 – 42) Likely increasing 1.2 (0.8 – 1.7) 19 (6.1 – -17)
Illinois 2954 (2826 – 3096) Increasing 1.2 (1.1 – 1.3) 21 (17 – 28)
Indiana 777 (704 – 843) Increasing 1.1 (1 – 1.2) 33 (20 – 100)
Iowa 657 (599 – 728) Increasing 1.3 (1.2 – 1.4) 14 (11 – 22)
Kansas 348 (298 – 389) Increasing 1.3 (1.2 – 1.4) 13 (9.4 – 24)
Kentucky 150 (119 – 178) Unsure 1 (0.9 – 1.1) -61 (39 – -17)
Louisiana 513 (455 – 567) Increasing 1.2 (1.1 – 1.3) 18 (11 – 40)
Maine 32 (17 – 46) Likely increasing 1.2 (0.9 – 1.5) 20 (6.4 – -19)
Maryland 1229 (1138 – 1310) Increasing 1.2 (1.1 – 1.3) 19 (14 – 30)
Massachusetts 2257 (2136 – 2376) Unsure 1 (1 – 1) -45 (450 – -21)
Michigan 1121 (1028 – 1197) Increasing 1.2 (1.1 – 1.2) 29 (16 – 120)
Minnesota 572 (517 – 635) Increasing 1.5 (1.4 – 1.7) 7.8 (6.5 – 9.6)
Mississippi 317 (273 – 360) Increasing 1.2 (1 – 1.3) 22 (13 – 78)
Missouri 245 (206 – 281) Increasing 1.1 (1 – 1.3) 30 (14 – -190)
Nebraska 470 (417 – 527) Increasing 1.3 (1.2 – 1.4) 14 (9.8 – 22)
Nevada 164 (133 – 194) Likely increasing 1.1 (1 – 1.3) 27 (12 – -91)
New Hampshire 123 (91 – 146) Increasing 1.3 (1.1 – 1.5) 12 (7.3 – 33)
New Jersey 2839 (2696 – 2969) Likely decreasing 1 (0.9 – 1) -74 (11000 – -37)
New Mexico 208 (164 – 240) Increasing 1.3 (1.1 – 1.4) 14 (9 – 34)
New York 4930 (4743 – 5105) Decreasing 0.9 (0.8 – 0.9) -19 (-29 – -14)
North Carolina 568 (509 – 629) Increasing 1.2 (1.1 – 1.4) 16 (11 – 26)
North Dakota 48 (30 – 64) Unsure 1 (0.9 – 1.2) -410 (13 – -13)
Ohio 716 (643 – 773) Increasing 1.2 (1.1 – 1.3) 15 (11 – 23)
Oklahoma 131 (104 – 160) Increasing 1.2 (1 – 1.4) 15 (8.4 – 75)
Oregon 68 (48 – 87) Unsure 1.1 (0.9 – 1.3) 41 (11 – -24)
Pennsylvania 1685 (1585 – 1791) Increasing 1.1 (1.1 – 1.2) 37 (22 – 120)
Puerto Rico 99 (75 – 122) Increasing 1.2 (1 – 1.5) 21 (7.9 – -34)
Rhode Island 376 (322 – 425) Unsure 1 (0.9 – 1.1) 340 (30 – -35)
South Carolina 212 (173 – 248) Likely increasing 1.1 (1 – 1.3) 28 (14 – -240)
South Dakota 79 (56 – 99) Unsure 1 (0.8 – 1.2) -170 (18 – -15)
Tennessee 684 (618 – 745) Increasing 1.4 (1.2 – 1.5) 12 (8.9 – 18)
Texas 1288 (1202 – 1374) Increasing 1.2 (1.2 – 1.3) 16 (12 – 23)
Utah 178 (143 – 208) Likely increasing 1.1 (0.9 – 1.2) 45 (15 – -49)
Vermont 9 (2 – 15) Unsure 1.2 (0.5 – 1.8) 23 (4 – -6.1)
Virginia 980 (896 – 1053) Increasing 1.2 (1.1 – 1.3) 17 (13 – 26)
Washington 325 (280 – 369) Increasing 1.1 (1 – 1.3) 27 (14 – 260)
West Virginia 26 (13 – 38) Unsure 1 (0.7 – 1.3) 92 (8.2 – -10)
Wisconsin 386 (333 – 433) Increasing 1.3 (1.1 – 1.4) 15 (10 – 28)

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